IN-HOME SUPPORTIVE SERVICES (IHSS) PROGRAM …
in-home supportive services (ihss) program provider or recipient change of address and/or telephone. 1. check one box only: provider. recipient. 2. provider number or recipient case number. 3. name first middle last. county name. 4. home address street. city. state. zip code. 5. mailing address street. city. state. zip code. 6. new home address ...
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IN-HOME SUPPORTIVE SERVICES (IHSS) PROGRAM …
www.cdss.ca.govin-home supportive services (ihss) program health care certification form note: the ihss worker may contact you for additional information or to
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STATEMENT ACKNOWLEDGING REQUIREMENT …
www.cdss.ca.govLIC 9108 (3/05) PAGE 2 OF 2 SIGNATURE DATE WHERE TO CALL IN AND SEND THE WRITTEN ABUSE REPORT Reports of suspected child abuse or neglect must be made to any police department or sheriff's
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IMPORTANT INFORMATION FOR PROSPECTIVE …
www.cdss.ca.govstate of california - health and human services agency california department of social services important information for prospective providers about the
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Important Information for the In-Home …
www.cdss.ca.govTEMP 3001 (11/15) PAGE 1 of 7 STATE OF CALIFORNIA – HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES Important Information for the
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LICENSE APPLICATION AND INSTRUCTIONS FOR …
www.cdss.ca.govLICENSE APPLICATION AND INSTRUCTIONS FOR FAMILY CHILD CARE HOMES This contains instructions needed to file an application for a Family Child Care Home license, and to gain access to
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REQUEST FOR LIVE SCAN SERVICE - COMMUNITY …
www.cdss.ca.govguidelines for community care licensing (ccld) applicants who use a live scan site (ccld ordoj site) for fingerprinting instructions for the lic 9163
STATE OF CALIFORNIA - HEALTH AND HUMAN …
www.cdss.ca.govstate of california - health and human services agency california department of social services community care licensing division lic 9214 (6/16) page 2 of 2
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STATE OF CALIFORNIA – HEALTH AND HUMAN …
www.cdss.ca.govSTATE OF CALIFORNIA – HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES . APPLICATION FOR SOCIAL SERVICES . To the Applicant: All sections of this form must be completed.
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STATEMENT ACKNOWLEDGING REQUIREMENT …
www.cdss.ca.govsoc 341a (3/15) statement acknowledging requirement to report suspected abuse of dependent adults and elders name position facility note: retain in employee/ volunteer file
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STATE OF CALIFORNIA – HEALTH AND HUMAN …
www.cdss.ca.govREPORT OF SUSPECTED DEPENDENT ADULT/ELDER FINANCIAL ABUSE FINANCIAL INSTITUTIONS ONLY GENERAL INSTRUCTIONS PURPOSE OF THE FORM This form is to be used by officers and employees of financial institutions (“mandated reporter(s)”) to report suspected
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Updated 4/8/2021 FACT SHEET In-Home Support Services …
www.canhr.orgIn-Home Support Services (IHSS) What is IHSS? IHSS is a statewide program administered by each county under the direction of the California Department of Social Services. It provides those with limited income who are disabled, blind or over the age of 65 with in–home care services to help them remain safely at home.
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CalWORKs Assistance Standards - HHSA Program Guides
hhsaprogramguides.sandiegocounty.govo In-Home Supportive Services (IHSS) o State Disability Insurance (SDI) o Temporary Worker’s Compensation (TWC) o Temporary Disability Indemnity (TDI) Income Reporting Threshold (IRT) (10/21) CalWORKs IRT is the lesser of Tier 1 or Tier 2: Tier 1: $1,007* + the gross income last used in the CalWORKs benefit determination.
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Notice of New Base Wage Requirement for Direct Care Workers
hcpf.colorado.govIn-Home Support Services (IHSS) Job Coaching Job Development Mentorship Personal Care Prevocational Services Respite, In-Home Specialized Habilitation State Plan Personal Care Supported Community Connections Supported Living Program
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